Individual
MR. FRED REID NEW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
140 GATEWAY BLVD, MOORESVILLE, NC 28117-5540
(704) 664-9638
(704) 664-1859
Mailing address
140 GATEWAY BLVD, MOORESVILLE, NC 28117-5540
(704) 664-9638
(704) 664-1859
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0050-02175
NC
Other
Enumeration date
09/20/2007
Last updated
08/15/2023
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